Evidence map›Paper›PMID 27313797›Full record

ArticleJournal of rural medicine : JRM2016

The use of a novel in-bed active Leg Exercise Apparatus (LEX) for increasing venous blood flow.

Kenta Tanaka, Hiroshi Kamada, Yukiyo Shimizu, Shizu Aikawa, Tomofumi Nishino, Naoyuki Ochiai, Masataka Sakane, Masashi Yamazaki

Open access · diamondAbstract read
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Article in Journal of rural medicine : JRM, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.0field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 16 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Kenta TanakaDepartment of Orthopaedic Surgery, Faculty of Medicine, University of Tsukuba, Japan.
Hiroshi KamadaDepartment of Orthopaedic Surgery, Faculty of Medicine, University of Tsukuba, Japan.
Yukiyo ShimizuDepartment of Orthopaedic Surgery, Faculty of Medicine, University of Tsukuba, Japan; Department of Rehabilitation Medicine, University of Tsukuba Hospital, Japan.
Shizu AikawaDepartment of Cardiovascular Surgery, University of Tsukuba Hospital, Japan.
Tomofumi NishinoDepartment of Orthopaedic Surgery, Faculty of Medicine, University of Tsukuba, Japan.
Naoyuki OchiaiDepartment of Orthopaedic Surgery, Kikkoman General Hospital, Japan.
Masataka SakaneDepartment of Orthopaedic Surgery, Faculty of Medicine, University of Tsukuba, Japan.
Masashi YamazakiDepartment of Orthopaedic Surgery, Faculty of Medicine, University of Tsukuba, Japan.
University of Tsukuba · JPKikkoman (Japan) · JPUniversity of Tsukuba Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe incidence of pulmonary embolism (PE) and leg deep vein thrombosis (DVT) has increased in recent years in association with aging and an increase in the number of bedridden individuals. We developed an active in-bed leg exercise apparatus labeled the Leg Exercise Apparatus (LEX) for DVT prevention. We compared the effect of leg exercises performed using the LEX to conventional active ankle exercises on increased blood flow. MATERIALS &

methodsThe subjects were eight healthy adult volunteers [five men and three women, aged 20-34 (mean 27.0) years]. Subjects performed two types of exercise; exercise 1 consisted of leg exercises using the LEX, while exercise 2 consisted of in-bed active plantar flexion/dorsiflexion exercises without the device. Measurements were taken 1, 5, 10, 20, and 30 minutes after exercise including common femoral vein blood flow, mean blood flow velocity, maximum blood flow velocity, and vessel diameter using Doppler ultrasound. Statistical procedures included timed measurement data analysis using a linear mixed model. A Bonferroni correction was used for multiple comparisons.

resultsCompared to resting levels, blood flow reached a maximum value 1 minute after exercise for both exercise types, with a significantly greater increase after exercise 1 (1.76-fold increase) compared to exercise 2 (1.44-fold increase) (p = 0.005). There was a significant difference (p = 0.03) between the two exercises for all values from 1 minute to 30 minutes following exercise. There was no significant difference between exercises for peak or mean blood flow velocity. Compared to resting levels, blood vessel diameter reached a maximum value of 1.47-fold greater at 5 minutes post-exercise for exercise 1 and a maximum value of 1.21-fold greater at 1 minute post-exercise for exercise 2.

conclusionsExercise using the LEX increased lower leg venous blood flow and vessel diameter. We propose that the LEX may serve as a new DVT prevention tool.

Indexed as

blood flowexercisevenous thrombosis

Identifiers

PMID27313797
PMCPMC4910027
OpenAlexW2427147191

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.